Title: 'What are Physician Attitudes, Knowledge and Practices Regarding EHDI? '
Track: 5 - Medical Home
Keyword(s): physician, knowledge, attitudes, medical home
Learning Objectives:
  1. To understand the degree to which medical homes are engaged within EHDI systems.
  2. To update our understanding of physician attitudes and knowledge regarding newborn and early childhood hearing screening and follow up.
  3. To identify strategies to educate physicians about their role in EHDI.


Strong physician involvement is one of the keys to having an effective EHDI program. Knowledgeable physicians are more likely to promote timely linkages from screening to follow-up. According to a multi-state study (Moeller, White, Shisler, 2006), physicians reported a lack of confidence in discussing follow-up procedures and intervention needs with families. Several important gaps in knowledge were identified. Since that time, there have been concerted efforts to foster relationships with physicians and provide training in regard to their role in supporting EHDI followup benchmarks (known as 1-3-6). To gauge the progress made in improving the knowledge, attitudes, and practices of primary care physicians, the National Center for Hearing Assessment and Management (NCHAM) and Boy’s Town National Research Hospital is working with state EHDI coordinators to obtain new self-report information from primary care physicians and otolaryngologists. Pilot data reflect some positive changes, such as making referrals to appropriate specialists, while other data reflect little or no change, such as continued lack of preparation to meet the needs of infants with permanent hearing loss or limited knowledge about risks associated with hearing loss. Pilot data also revealed that close to 25% of physicians report performing hearing screening in their offices, with minimal use of otoacoustic emissions (OAE’s) as the method. This presentation will discuss findings from the 2012 Physician Survey Regarding Newborn and Infant Hearing Screening, sharing aggregate results from at least 10 states. Ways in which these results can guide training, technical assistance, and outreach activities will be described. Resources available for supporting the role of the medical home will be shared with the audience, providing support to EHDI coordinators, EHDI Chapter Champions, families, and others who engage with physicians in serving infants and families following newborn hearing screening.
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Karl White - Author
Utah State University
     Credentials: PhD
      Dr. White is a Professor of Psychology, the Emma Eccles Jones Endowed Chair in Early Childhood Education, and the founding Director of the National Center for Hearing Assessment and Management. He has been the PI or Co-PI for over $50 million of competitively awarded research. His work has been recognized with awards from such diverse organizations as the Deafness Research Foundation, the American Association for Speech Language and Hearing, The Swedish Society of Medicine, and the Alexander Graham Bell Association for the Deaf. He has hundreds of publications and presentations at scholarly meetings, and has been an invited speaker to more than 35 countries. He also serves on many national and international advisory groups for organizations such as the United States Department of Health and Human Services, the World Health Organization, the Institute of Medicine, and the American Academy of Pediatrics.

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Diane Behl - POC,Primary Presenter
     Credentials: M.Ed.
      Diane Behl is a Senior Faculty member at the National Center for Hearing Assessment and Management. She facilitates telehealth learning communities and is a co-investigator for cost-effectiveness studies. She has expertise in evaluating the effectiveness of service coordination provided via Part C Early Intervention and Maternal and Child Health programs.

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.
Karen Munoz - Co-Presenter,Author
Utah State University
     Credentials: Associate Professor
     Other Affiliations: NCHAM
      Karen Muñoz is an associate professor of audiology at Utah State University in the Department of Communicative Disorders and associate director of the National Center for Hearing Assessment and Management. Her research focus is in the area of childhood hearing loss.

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.
Mary Pat Moeller - Co-Presenter,Author
Director, Center for Childhood Deafness Lied Learning and Technology Center at Boys Town National Research Hospital
     Credentials: Ph.D.

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.